A CASE OF PERFORATION OF THE BILE DUCT IN THE LIVER FOR A CANCER OF THE GALLBLADDER

Abstract

We experienced bilialy peritonitis from the bile duct in the liver.
An 81-year-old man was admitted to the hospital because of an abdominal pain. He was icteric but had panperitonitis. On and after the second hospital day, abdominal distension and ascites appeared. So we punctured ascites and conducted an emergency operation under a diagnosis of biliary panperitonitis.
It mas found that the common bile duct was obstructed by swollen lymph nodes for cancer of the gallbladder and bile was exudated from the bile duct on the left liver.